StorageStore in a tightly sealed container away from heat, moisture, and direct light.

Missed DoseIf you take a one-time daily bedtime dose, do not take a missed dose in the morning because it may cause drowsiness. Call your doctor. If you take more than one dose a day, take it as soon as you remember. If it is near the time for the next dose, skip the missed dose and resume your regular dosage schedule. Do not double the next dose.

Stopping the DrugTake it as prescribed for the full treatment period, even if you feel better before the scheduled end of therapy. The decision to stop taking the drug should be made in consultation with your doctor. The dosage should be gradually tapered over several days when stopping.

Prolonged UseThe usual course of therapy lasts six months to one year; some patients may benefit from additional therapy. There is increased risk of movement disorders with prolonged use.

Over 60Adverse reactions may be more likely and more severe in older patients. A lower dose may be warranted.

Driving and Hazardous WorkUse caution when driving or engaging in hazardous work until you determine how the medication affects you. Drowsiness and lightheadedness can occur.

Special ConcernsThis is a potentially dangerous drug, especially if taken in excess. Tricyclic antidepressants should not be within easy reach of suicidal patients. If dry mouth occurs, use sugarless gum or candy for relief.

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